7Reduction of the metaphysis/diaphysis

Reduction of metaphyseal component

The key concept in reduction of the metaphyseal component of the fracture
when using a Condylar LCP is that proper application of the Condylar LCP on the
distal femur allows the surgeon to use the plate to achieve the metaphyseal
fracture reduction. When brought down to the proximal femoral shaft, the
correct frontal plane alignment has been assured. The surgeon must then control
length, rotation, and sagittal plane deformity (hyperextension/hyperflexion).
When performed in an open manner, length can be aided by manual traction. The
sagittal plane deformity correction can be aided by supracondylar bolsters.

Reduction aids
Open reduction is aided by:

Bolsters posterior to the supracondylar region, which help correct the
hyperextension deformity of the distal femoral articular block.